E1145 Cert III Individual Support (Disability) Skills Assessment

This assignment solution provides answers to a knowledge test on higher-level communication skills within the context of Certificate III in Individual Support (Disability). The scenario involves a disability support worker at CareShore, supporting individuals with diverse communication needs, including Emma, who has multiple sclerosis and Peter, who suffered a stroke. The assessment explores principles and practices of augmentative and alternative communication (AAC), tools for assessing communication needs, documentation methods, causes of communication impairment, and the role of a speech pathologist. It also emphasizes the importance of adapting communication styles for diverse cultural backgrounds and enhancing the independence of individuals through suitable communication systems. The solution includes examples and explanations related to varying communication styles and the impact of conditions like stroke and ABI on communication.

Assessment number 32656/02 - Knowledge test E1145
Certificate III in Individual
Support (Disability)
Higher level
communication skills
This is assessment 2 of 2.
1. Background/Overview
CareShore is the city-based community organisation you work for
and it provides adult Disability Support services to a wide range of
people across Supported Accommodation, Day Services and Respite
Services. The mix of people being supported is ethnically and
culturally diverse
You are a Disability Support Worker employed on a part time basis
at CareShore and you have been working in the job for the last 9
months. You love working in this support role and have developed
rewarding professional relationships with the people you support.
One of the people you support with community access is Emma.
Emma is a 47-year-old female person who receives support from
CareShore, and you work with her on a regular basis. She is from
Denmark originally and English is her second language which she
speaks quite well but, at times she does have trouble with a limited
English vocabulary. Emma has progressive multiple sclerosis, uses
an electric wheelchair and her ability to speak is decreasing
noticeably. At times it is hard to understand what she is trying to
say, and she gets frustrated at this. Recently she has noticed that
as it is more difficult for her to access the community on her own,
she has fewer opportunities to catch up with friends and when she
does, chatting with them is harder now. She sometimes feels
isolated and would like more opportunities to catch up with her
friends. Your support work with Emma is mostly to facilitate
community-based day activities for her
Peter is 64 and has been working as an engineer until recently.
He had a stroke three months ago and was left with weakness on
his left side. He has only recently come to CareShore for leisure
activities to give his wife respite as she battles to adjust to Peter’s
changed circumstances. As a result of his stroke, Peter’s speech
has been significantly affected.
2. Brief
At various places in this assessment, you will be required to work
from scenarios and case notes. Draw on the information above as
Deliverables
Please submit this assessment
in Word doc format.
To do list:
1. Write your
name and student ID
at the top of this page.
2. Read the
background/overview and
brief sections of this
document.
3. Complete Parts A, B, C
& D.
4. Collate your written
answers into one Word
document.
5. Save the Word
document using the naming
convention: your student
number_assessment
number.doc. For example:
“12345678_31135_01.doc.”
6. Upload your document
in Open Space using the
relevant Assessment
Upload link in this Module.
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necessary to work through each of the assessment tasks.
3. Assessment tasks:
Part A - The role of the support worker in identifying communication capacity and individual needs
In your own words, respond to the following questions, making sure that you observe the word counts and that
you provide sufficient detail in your answers so that your assessor can gauge your understanding of the topic.
Question 1: Describe what the general principles and practices of augmentative and alternative
communication are (50 words)
There are some principles and practices of augmentative and alternative communication such as
Principle 1, it generally needs an active participation of people with complex communication
requirements among all AAC activities. In this, principle 2 specifically involves theoretical concept
which inherent search and improvement in the augmentative and alternative communication are
generally grounded, broadly accepted and distinctly defined.
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Assessor Feedback
Dear Student, please provide your resubmitted response below:
An AAC is specifically an area of the clinical practice which generally increase for harm in the
production of speech-language as well as comprehension, containing the modes of
communication such as written and spoken.
 Satisfactory
Question 2: Describe what tools are used to assess people with complex communication needs at
your organisation for the potential use of augmentative and alternative communication? (50 words)
As per the given case scenario, there is an assessment tool such as Augmentative and alternative
communication profile assessment tool which effectively determine skills like subjective and
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functional skills for improving communication with patients or people in CareShore organization. An
assessment tool is used for initial assessment, to re-assess skills as well as to supervise progress.
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Dear Student, please provide your resubmitted response below:
As per the role of social worker, in order to access people with complex communication needs for
the use of AAC, they must use techniques as well as tools to aid people so that they can effectively
express their needs, thoughts, feelings and ideas with help of gestures, manual signs, line drawing,
speech generating devices and many more.
 Satisfactory
Question 3: Complete the following form. List three forms of documentation you might use in the process of
identifying a person’s communication ability and their communication needs. Explain the purpose of each piece of
documentation.
Documentation Purpose
Verbal documentation. The documentation generally justifies those actions as well as
communications were legitimate and can be taken out of care
organisations necessity.
Non-verbal
documentation.
It plays an essential part in every individual's lives; it can specifically
enhance the capability of individual to engage as well as can
establish more meaningful interactions in their daily life. In this,
having an enhanced understanding of such types can lead individuals
to develop more stronger relationships with other people.
Written documentation. It is quite necessary in healthcare organisations. It can effectively
promote safety as well as quality of care towards patients. In this, a
complete as well as correct medical record keeping can positively aid
disability social care workers to provide best care at right time.
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The forms of document that can be needed are such as the medical records, the progress notes,
the outcomes of the tests and a complete questionnaire. In this, the medical record is generally
an essential document that is generally used for recording the care treatment procedures for a
patients. It is quite essential for both the care nurses and patients as well. In context
with progress notes, they can effectively be able to give the daily account of the patients and them
respective illness. It can also contain information about the development in their treatment and
diagnosis. In context with outcomes of the tests, it can specifically enable the people to make
the proper decisions about how to best care for the patients as well as its results can evaluates aid
the care nurses to predict the patients who may get advantages most from the interventions.
 Satisfactory
Health Assessments
Case Documentation
Personal Care Plans
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Question 4: What can cause communication impairment in a person with a disability? (50 words)
As per given scenario, there is a speech intelligibility which is generally a most common cause
communication impairment among people with having some disabilities. In this having impairment
of cognitive or intellectual disability can impact motor control like dysarthria’s which specifically
results from stroke, myasthenia gravis and many more.  Satisfactory
Question 5: Communication assistance can occur at two basic levels – unaided and aided. Describe
the differences between them. (30 words)
While talking about communication assistance in the above case scenario, unaided communication
generally does not use any extra equipment’s. In this, people generally use gesture, language and
many more in order to communicate with other people. In context with aided communication, it
specifically uses equipment’s or tools to communicate. It can usually range from low-tech to high-
tech methods as well as frequently uses symbols and pictures rather than words.  Satisfactory
1. Question 6: Provide an example of how you would vary your communication style when
interacting with a person with a different cultural background to your own. (50 words)
If social care workers are having issues while interacting with people having different cultural
background then, social care workers must try to develop an effective communication using
language which every people can easily understand. Social care workers must try to communicate
politely or respectfully so that people do not hesitate in front of them and can effectively be able to
share their feelings or emotions with care workers.
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Dear Student, please provide your resubmitted response below:
For example, As a social worker, I effectively develop communication with culturally different
people by having my conversation slow and precise such that people can understand easily. I
have use the gestures, facial expressions to convey messages to them.  Satisfactory pj
2. Question 7: Describe what role and function a speech pathologist might have in the
development, implementation and maintenance of augmentative and alternative
communication strategies and devices for Emma (50 words)
In case scenario of Emma, she is 47-year-old women, suffering from multiple sclerosis. Due to
condition of her brain, she is unable to communicate well, and this thing troubles her a lot. In order
to cope with her situation, social care worker provide support with speech pathologist in AAC so
that she can communicate well and improve her quality life. In this, speech pathologist is mainly
responsible for diagnosis and rectification of communication issue and can improves development
of pragmatic language.  Satisfactory
3. Question 8: Describe what you see as your role when supporting a person who uses
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augmentative and/or alternative communication? (50 words)
While talking about case scenarios of both Emma and Peter, they both have issues in
communication from their incidences such as multiple sclerosis and stroke. After providing an
augmentative and alternative communication to these people, it can specifically enhance their
speech, development of language, augment communication. Through this, it can also effectively
enhance their quality of life.
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Dear Student, please provide your resubmitted response below:
As a social worker, while providing support to a person who generally uses augmentative and
alternative communication, person is able to improve their lives with having intellectual
disabilities. Through support, a particular person is able to live their life independently. Through
using AAC, it can also help a person to promote their social relationship development.
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Dear Student, please provide your resubmitted response below:
As per the social care worker's perspectives, when an individual uses AAC, they contain enormous
potency to improve the lives of people having intellectual disabilities. As a social care worker, I
effectively visualize that providing AAC methods to people can promote their independence and
also promote their development of social relationships.
Question 9: How does your work in supporting a person to use a suitable communication system,
add to their independence? (50 words)
As a social care worker, while providing care support towards people having communication issues,
providing them Augmentative and alternative communication can help them to develop their
language skills so that they can communicate more efficiently with other people. Through
providing AAC, people can effectively enhance their participation in their regular activities. 
Satisfactory
Question 10: Provide 3 examples of causes and conditions that are associated with communication
impairment, including stroke and ABI (30-50 words)
As per given case scenario, Emma is suffering from multiple sclerosis, that is potentially a
impairment of brain and spinal cord. It can generally impair myelin which cover nerve fibres and
can cause issues in communication among brain and rest of body parts. In addition, Peter is also
having issues of communication due to stroke often known as aphasia. It can occur because region
of brain that controls language and speech gets affected or injured.
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Assessor Feedback
Dear Student, please provide your resubmitted response below:
In addition to this, there is another cause and conditions which are significantly linked with
impairment of communication such as people having Alzheimer's illness. The illness generally left
people with little ability to effectively communicate his needs. In this, their formal language
usually disappears.  Satisfactory
Question 11: Describe the basic steps in an AAC assessment (75-100 words)
While providing Augmentative and Alternative communication assessment, there are some steps
that are followed such as identifying the issues of people, examining their specific needs, providing
services which they effectively require to overcome their communication issue. Follow up services
to supervise people with determined speech and language communication issue such as cognitive
communication as well as language status. Suitable interventions and encouragement. In addition
to this, final evaluation is also an essential step while providing care so that care workers can
effectively be able to know about their patients capability to acquire AAC strategies.
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Assessor Feedback
Dear Student, please provide your resubmitted response below:
As per disability social worker, the basic step in AAC generally involves the determination of the
specific problems of people, identifying their needs, can effectively furnish the communication
services such that issues can be overcome. In addition to this, the social worker can effectively
supervise the people who are having impairments in communication and using AAC to overcome
issues. This can be quite helpful for people who are using AAC to overcome their impairments
more effectively.  Satisfactory
Question 12: Provide 2 reasons as to why you may need to refer difficulties to another
professional. Outline the documentation that would need to be provided to a supervisor. (75-100
words)
In this, there is a need to refer difficulties towards another care professionals so that patient can
receive right care to increase their well-being and quality care at right time in order to meet the
requirements of patients. In this, the documentation which required to be given to supervisor is an
effective referral of client.
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Dear Student, please provide your resubmitted response below:
In this, there can be a reason such as the patients need specialized care or help that is outside the
social workers area of competency. Another reason could be the unhealthy or unsafe therapeutic
relationship between patient and professionals. There must be a written documentation which
needs to be provided to a supervisor
 Satisfactory
PART B: The role of the support worker in developing effective AAC strategies
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In your own words, respond to the following questions, making sure that you observe the word counts and that
you provide sufficient detail in your answers so that your assessor can gauge your understanding of the topic.
Question 13: Describe what a communication board is and how it is used correctly (50 words)
Communication board is generally a device which is used to display symbols, pictures or any
illustrations. These can effectively aid people having restricted language skills can express
themselves. People suffering from communication issue can use specific gestures or can blink at
pictures to communicate well with other people. In addition, it is also a type of Augmentative and
Alternative communication.  Satisfactory
Question 14: How can you ensure that augmentative and alternative communication strategies are
correct for the person’s level of communication? (50 words)
As a disability support worker, providing augmentative and alternative communication strategies
towards people who are in need such as Emma and Peter can effectively help them to cope with
their disabilities. They both involve issues while communicating with other people. Their inability to
communicate with other people can make them more frustrated as well as isolated. Through using
such strategies, it can help both to overcome their barrier and live their quality life more
independently.
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Assessor Feedback
Dear Student, please provide your resubmitted response below:
As a social worker, looking at the person's level of communication, their easiness while
communicating with others can effectively specifies about their effective use of AAC. If people
who are having communication impairments, are able to form positive communication with other
peoples then AAC is effective for them to use it
 Satisfactory
Question 15: What adjustments could be made to an aided AAC device to meet individual needs
considering that this device is going to require long term effort and motivation? (30-50 words)
While utilising aided Augmentative and alternative communication devices, there are things which
are required to be considered such as people's current visual, cognitive, and fine motor capabilities.
In this, people must be able to access AAC devices provided their current capabilities and
development level.
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Dear Student, please provide your resubmitted response below:
The possible adjustments that can be made to an aided AAC device in order to meet people's
need and make the effects of device as a long-term efforts and motivation, make the device
more suitable for the people who are having impairments in speech and learning. By making the
functioning of device easy so that every individual can use it to improve their skills more
appropriately.  Satisfactory
Question 16: Without using spoken word, written word or sign language, how would you assist
Emma to communicate a message to staff e.g. “my medication is making me feel sick”, “I want to
talk to my sister”? (50 words)
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As per case scenario, with using non-verbal communication, disability support worker can help to
communicate people so that they can effectively convey their messages to care staff. Using non-
verbal communication, people can effectively be able to express their emotions, feelings to care
staff so that care staff can also understand what they trying to say.
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Dear Student, please provide your resubmitted response below:
As per the given scenario, the support workers can assist Emma in order to communicate message
to staff member, she must use of her facial expressions, gestures so that staff worker can be able
to understand it properly.  Satisfactory
Question 17: Lack of understanding of cultural influences will make communication with the person
with disability more difficult (e.g. a person who comes from a culture where hand gestures are not
used very often may interpret the behaviour of a person who uses their hands a lot when
communicating as indicating nervousness, or even aggression.) What could you do to overcome this
situation (50 words)
As a disability social care worker, to minimise the understanding of cultural impacts among people
with disability, care worker must try to communicate with them in order to find what languages
they know. Disability social care worker must communicate with people having disabilities using
verbal, non-verbal form of communication in a kind manner.
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in order to overcome the above situation, a person must learn the new key phrases, must learn
the culture of the other people. The person can learn about various other cultures also so that
they can effectively able to communicate with other people.  Satisfactory
Question 18: Describe a different communication strategy you could use with each of the groups of
people below. What other professionals could you consult with in each of these groups? (30 words
each):
a. People with a hearing impairment
People having hearing disabilities must use lip reading and speech therapy in order to communicate
with other people. Capability of communication can vary simply depending upon level of hearing
impairment, benefits of hearing aids and many more.  Satisfactory
b. People with a sight impairment
In order to communicate with people having vision impairment, disability support worker can make
sure about their presence with people. They must always use names of patients while
communicating. They must provide verbal warnings or message to people having vision disability to
communicate.  Satisfactory
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c. People who have dementia
In order to communicate with people having dementia, support worker must develop an
effective communication with them so that people can share their emotions and feelings.
Sharing such things can make care workers to provide efficient care as per their need to
improve patients’ well-being and quality of life as well.
d. People who do not speak English
In this, if people having issues while communicating in English language, then care support
workers must use language which people can understand easily. Care worker can communicate
either non-verbally or in written form with people.
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Dear Student, please provide your resubmitted response below:
People who have dementia: To communicate with people having Dementia, people must
speak clearly and slowly, and must use of precise sentences, they must speak slowly and
clearly. You may also use a Memory Book – review for your own learning
People who do not speak English: In order to communicate with people who do not
speak English, people must be a active listener, must think of the conversation as a
collaboration. You would use an interpreter – review for your own learning
 Satisfactory
Question 19: Demonstrate how you could assist a person to use one of their AAC tools. Below is: -
 An example of a service participant profile for Raoul who is a non-verbal person you support
 An example of a Community Request Card for Raoul to use at a restaurant
 Example instructions for the use of the card.
Example Profile: Raoul has an Indian background and likes to eat spicy food. He goes out once a
week to his favourite Indian restaurant and likes to order the same dish each time. Raoul cannot
communicate verbally and has a moderate level of intellectual disability.
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Example Community Request Card for Raoul
I would like one bowl of Chicken Curry with rice and a
glass of lemonade please.
Example Instructions For Use of Community Request Card:
11 Raoul puts the Community Request Card in wallet prior to leaving home.11 Support worker drives Raoul to the Arjun Indian Restaurant on Main St, and park in the car
park behind.11 Raoul and support staff member enter the restaurant with Raoul taking the lead.11 Raoul approaches the front desk and gives his card to the restaurant staff.11 The restaurant staff person asks Raoul if he would like the special bread of the day with that.
Raoul nods or shakes his head to answer the question.11 Raoul gives the restaurant staff the money for the meal and accepts the change.11 Raoul and staff member take a seat. Raoul likes to sit near the front window overlooking
Main St.11 Meal and drinks arrive.11 TROUBLE SHOOTING: Raoul to take the communication lead. If restaurant staff ask support
worker what Raoul wants, support worker to refer back to Raoul, e.g., “Raoul can answer
that question himself.” Or “What do you think about that Raoul?” There may be times when
the support worker does need to answer the question, however this should be minimised as
much as possible, and Raoul should always be included in the conversation.
NOW DO THIS:
Create a community request card and instructions for the card’s use for Emma, for any activity you choose to
support her in. Ensure this is relevant to Emma’s needs.
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Community Request Card for Emma.
I would like to perform some community-
based activities to improve my well-being.
Instructions for Use of Community Request Card:
 Emma puts community request card in her purse prior to leaving home.
 Support worker drives Emma to the park for some social activities like yoga and exercise
so that she can be physically fit.
 Support care worker and Emma enter park and Emma taking the lead.
 The security staff of park ask Emma to give her community request card to them.
 Emma chooses her place to perform some community-based activities to improve her
well-being.
 Support care worker helped her to do some exercises and yoga.
 The support worker asked to Emma what exercises Emma have performed and to support
her, the support worker encourage her to speak itself with help of AAC as English is her
second language.
 Emma said to support worker that with help of effective yoga and exercise she is able to
improve her well-being and can able to perform daily activities quite effectively.
INSERT YOR WORK BELOW
PART C: The role of the support worker in implementing an AAC strategy
In the spaces provided, describe how you might assist with the following communication barriers.
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Scenario
How can you support and assist effective
communication in each scenario?
(30-50 words each)
Yousef has immigrated to Australia 5 months
ago. He can speak English but has a strong
accent. His co-worker, Shane, finds it hard to
understand Yousef. They are often
misunderstanding one another and getting
into conflicts regarding who said what.
While overcoming communication barrier
among Yousef and Shane, care support worker
can provide AAC strategies to overcome
communication issues. Through augmentative
and alternative communication, people can
effectively be able to develop understanding
of languages so that they can overcome their
conflicts.
A support worker is talking the person with
disability through the steps of cooking dinner.
When the support worker says something that
the person does not understand, the person
says repeatedly “I can’t. I can’t.”
Through assessing AAC strategies, it can
effectively aid people to overcome their verbal
communication issues. If person having
disability is not getting things, then he or she
must have hearing impairment issues. To
overcome such impairments, AAC can help to
develop speech and language production so
that people can communicate well.
The person with disability has a moderate
level of intellectual disability and
communication difficulties. The other support
worker is not sure where the person would
like to go in the community, and hence
guesses that perhaps the person might like to
go to the museum. At the museum, the person
with disability looks unhappy.
There is a lack of communication in given
scenario. In order to overcome such things,
support worker must ensure about the things
of people which make them happy. If disabled
people are not able to communicate then,
support worker must provide them AAC to
improve their language and speech so that
people can communicate well with care
workers and make them understandable.
Bill has a hearing impairment. As this has been
a recent issue for him, he has not yet learnt to
use sign language.
In order to make conversations with Bill who is
having hearing impairment, care support
workers must use speech and lip reading. This
can help Bill to make conversations with
people and can also make Bill to understand
the signs as this can make his communication
easier.
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Dear Student, please provide your resubmitted response below:
As per case scenario 1, Yousef must speak slowly and precise so that Shane can able to
understand easily. Yousef must try to understand Shane what he is trying to say so that there
were no conflict take place.
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